Saint Petersburg, St. Petersburg, Russian Federation
Saint Petersburg, St. Petersburg, Russian Federation
There is no doubt in possibility to apply digital workflow at different steps of diagnostic and treatment procedures in management of dental patients. Digital technology complemented by augmented and virtual reality, artificial intelligence and fast prototyping is dynamically evolving in Dentistry. These technologies have positive influence on achievement of the clinical success. Nevertheless the implementation of these technologies is often happening in random and segmented mode. Based on that we have set the goal to progressively and comprehensively perform digital transformation of the implant supported prosthetic workflow. We have finished prosthodontic treatment of 226 patients (79 males, 147 females) in an age range from from 54 to 83 years (mean age 72.4+\-6.3 years) with fully edentulous jaws. Digital workflow was performed by utilising intraoral and desktop scanners. We used Exocad, 3Shape Dental System and Zirkohnzahn CAD software, as well as CAD and Analysis softwares: Geometric Control X, Nobel Procera Software v.3.1, Mimics Medical 21 Materialise. We maximised the application of modern computerised methods and technology during performing all the steps of treatment. Implant survival rate is equal to 99.52%. Bone level atrophy comprised 1.2+\-0.21 mm. Highly rated chewing efficiency, phonetics and gustation was noted. Therefore gradual and comprehensive digital transformation of the implant supported prosthetic protocols, which included proprietary solutions, devices and appliances, contributed in achieving favourable, long term stable results of rehabilitation of the elderly edentulous patients.
digital transformation, patient-centered outcomes, personalized dental medicine, dental implants, digital dentistry
1. Apresyan S.V., Stepanov A.G., Vardanyan B.A. Cifrovoy protokol kompleksnogo planirovaniya stomatologicheskogo lecheniya. Analiz klinicheskogo sluchaya. Stomatologiya. 2021;100;3:65-71. [S.V. Apresyan, A.G. Stepanov, B.A. Vardanyan. Digital protocol for integrated planning of dental treatment. Analysis of a clinical case. Dentistry. 2021;100;3:65-71. (In Russ.)]. https://doi.org/10.17116/stomat202110003165
2. Astashina N.B., Bazhin A.A., Starkova A.V., Ursakiy O.N. Vozmozhnosti primeneniya kompozicionnyh materialov i cifrovyh tehnologiy na etapah ortopedicheskogo lecheniya pacientov s polnym otsutstviem zubov. Problemy stomatologii. 2021;17;1:129-135. [N.B. Astashina, A.A. Bazhin, A.V. Starkova, O.N. Ursakiy. Possibilities of using composite materials and digital technologies at the stages of orthopedic treatment of patients with complete absence of teeth. Actual problems in dentistry. 2021;17;1:129-135. (In Russ.)]. https://doi.org/10.18481/2077-7566-20-17-1-129-135
3. Vokulova Yu.A., Zhulev E.N. Sravnitel'naya ocenka razmernoy tochnosti karkasov mostovidnyh protezov, izgotovlennyh s pomosch'yu tradicionnyh i cifrovyh tehnologiy. Problemy stomatologii. 2021;16;4:130-135. [Yu.A. Vokulova, E.N. Zhulev. Comparative assessment of the dimensional accuracy of bridge frameworks made using traditional and digital technologies. Actual problems in dentistry. 2021;16;4:130-135. (In Russ.)]. https://doi.org/10.18481/2077-7566-20-16-4-130-135
4. Mel'nikov Yu.A., Zholudev S.E., Vladimirova E.V., Zaikin D.A. Precizionnost' izgotovleniya provizornoy koronki s pomosch'yu tehnologii 3D-pechati. Nemedlennaya vremennaya restavraciya posle dental'noy implantacii. Problemy stomatologii. 2021;16;4:109-114. [Yu.A. Melnikov, S.E. Zholudev, E.V. Vladimirova, D.A. Zaikin. Precision manufacturing of a provisional crown using 3D printing technology. Immediate temporary restoration after dental implantation. Actual problems in dentistry. 2021;16;4:109-114. (In Russ.)]. https://doi.org/10.18481/2077-7566-20-16-4-109-114
5. Mitroshenkov P.P., Drobyshev A.Yu., Mitroshenkov P.N., Mihaylyukov V.M. Virtual'noe planirovanie i intraoperacionnyy kontrol' s ispol'zovaniem sistem komp'yuternoy navigacii v ortognaticheskoy hirurgii. Stomatologiya. 2020;99;5:38-45. [P.P. Mitroshenkov, A.Yu. Drobyshev, P.N. Mitroshenkov, V.M. Mikhailyukov. Virtual planning and intraoperative control using computer navigation systems in orthognathic surgery. Dentistry. 2020;99;5:38-45. (In Russ.)]. https://doi.org/10.17116/stomat20209905138
6. Rozov R.A. Patent RF 2720667. Sposob implantacionnogo protezirovaniya na nizhney chelyusti s zaschitoy implantatov ot poteri stabilizacii. 2020;14. [R.A. Rozov. Patent RF 2720667. Method of implant prosthetics in the lower jaw with protection of implants from loss of stabilization. 2020;14. (In Russ.)].
7. Rozov R.A. Kriterial'naya sistema ocenki real'nyh kompetenciy vrachey-stomatologov, zanimayuschihsya dental'noy implantologiey. Rezul'taty analiza 43 portfolio molodyh vrachey-stomatologov. Stomatologiya. 2019;3:4-11. [R.A. Rozov. A criterion system for assessing the real competencies of dentists involved in dental implantology. Results of the analysis of 43 portfolios of young dentists. Dentistry. 2019;3:4-11. (In Russ.)]. https://doi.org/10.17116/stomat2019980314
8. Rozov R.A. Organizaciya neotlozhnoy stomatologicheskoy pomoschi vzroslym i detyam s novoy koronovirusnoy infekciey, vyzvannoy SARS-CoV-2, na baze gorodskoy stomatologicheskoy polikliniki megapolisa. Stomatologiya. 2021;100;4:78-87. [R.A. Rozov. Organization of emergency dental care for adults and children with a new coronavirus infection caused by SARS-CoV-2, on the basis of the city dental clinic of the metropolis. Dentistry. 2021;100;4:78-87. (In Russ.)]. https://doi.org/10.17116/stomat20209905150
9. Rozov R.A., Trezubov V.N., Bystrova Yu.A., Spicyna O.B. Razrabotka, validaciya i klinicheskaya aprobaciya avtorskogo sposoba ocenki kachestva implantacionnyh protezov u pacientov pozhilogo i starcheskogo vozrasta. Parodontologiya. 2021;26;3:231-236. [R.A. Rozov, V.N. Trezubov, Yu.A. Bystrova, O.B. Spitsyna. Development, validation and clinical testing of the author's method for assessing the quality of implantable prostheses in elderly and senile patients. Periodontics. 2021;26;3:231-236. (In Russ.)].
10. Alauddin M.S., Baharuddin A.S., Mohd Ghazali M.I. The Modern and Digital Transformation of Oral Health Care: A Mini Review // Healthcare (Basel). - 2021;9;2:118. https://doi.org/10.3390/healthcare9020118.
11. Ayoub A., Pulijala Y. The application of virtual reality and augmented reality in Oral & Maxillofacial Surgery // BMC Oral Health. - 2019;19;1:238. https://doi.org/10.1186/s12903-019-0937-8.
12. Block M.S.; Emery R.W., Cullum D.R., Sheikh A. Implant placement is more accurate using dynamic navigation // J. Oral Maxillofac. Surg. - 2017;75:1377-1386.
13. Emery R.W., Merritt S.A., Lank K., Gibbs J.D. Accuracy of dynamic navigation for dental implant placement-model-based evaluation // J. Oral Implantol. - 2016;42:399-405.
14. Favaretto M., Shaw D., De Clercq E., Joda T., Elger B.S. Big Data and Digitalization in Dentistry: A Systematic Review of the Ethical Issues // Int J Environ Res Public Health. - 2020;17;7:2495. https://doi.org/10.3390/ijerph17072495.
15. Gross D., Gross K., Wilhelmy S. Digitalization in dentistry: ethical challenges and implications // Quintessence Int. - 2019;50;10:830-838. https://doi.org/10.3290/j.qi.a43151.
16. Joda T., Zarone F., Ferrari M. The complete digital workflow in fixed prosthodontics: a systematic review // BMC Oral Health. - 2017;17;1:124. https://doi.org/10.1186/s12903-017-0415-0.
17. Joda T., Gallucci G.O., Wismeijer D., Zitzmann N.U. Augmented and virtual reality in dental medicine: A systematic review // Comput Biol Med. - 2019;108:93-100. https://doi.org/10.1016/j.compbiomed.2019.03.012.
18. Joda T., Waltimo T., Probst-Hensch N., Pauli-Magnus C., Zitzmann N.U. Health Data in Dentistry: An Attempt to Master the Digital Challenge // Public Heal. Genom. - 2019;22:1-7.
19. Joda T., Bornstein M.M., Jung R.E., Ferrari M., Waltimo T., Zitzmann N.U. Recent Trends and Future Direction of Dental Research in the Digital Era // Int J Environ Res Public Health. - 2020;17;6:1987. https://doi.org/10.3390/ijerph17061987.
20. Kunzendorf B., Naujokat H., Wiltfang J. Indications for 3-D diagnostics and navigation in dental implantology with the focus on radiation exposure: a systematic review // Int J Implant Dent. - 2021;7;1:52. https://doi.org/10.1186/s40729-021-00328-9.
21. Lee H., Burkhardt F., Fehmer V., Sailer I. Accuracy of Vertical Dimension Augmentation Using Different Digital Methods Compared to a Clinical Situation-A Pilot Study // Int J Prosthodont. - 2020;33;4:380-385. https://doi.org/10.11607/ijp.6402.
22. Michelinakis G., Apostolakis D., Kamposiora P., Papavasiliou G., Özcan M. The direct digital workflow in fixed implant prosthodontics: a narrative review // BMC Oral Health. - 2021;21;1:37. https://doi.org/10.1186/s12903-021-01398-2.
23. Nesic D., Schaefer B.M., Sun Y., Saulacic N., Sailer I. 3D Printing Approach in Dentistry: The Future for Personalized Oral Soft Tissue Regeneration // J Clin Med. - 2020;9;7:2238. https://doi.org/10.3390/jcm9072238.
24. Pellegrino G., Mangano C., Mangano R., Ferri A., Taraschi V., Marchetti C. Augmented reality for dental implantology: a pilot clinical report of two cases // BMC Oral Health. - 2019;19;1:158. https://doi.org/10.1186/s12903-019-0853-y.
25. Turkyilmaz I., Lakhia S., Tarrida L.G., Varvara G. Guest Commentary: The Battle of File Formats from Intraoral Optical Scanners // Int J Prosthodont. - 2020;33;4:369-371. https://doi.org/10.11607/ijp.2020.4.gc.
